DR. BROOKE DEXHEIMER


Address: 1369 E Pennsylvania Ave, State College, PA 16801-6847
Phone: 5635470125

DR. BROOKE DEXHEIMER (NPI# 1851913297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851913297
Entity Type Individual
Full Name DR. BROOKE DEXHEIMER
Other Name DR. BROOKE FOSAAEN
Credential OTD, OTR/L
Practice Address 1369 E Pennsylvania Ave
State College
PA 16801-6847
Practice Telephone 5635470125
Enumeration Date 2020-05-07
Last Update Date 2020-05-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XN1300X Occupational Therapist
Specialization: Neurorehabilitation
OC016356 PA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1369 E PENNSYLVANIA AVE
City STATE COLLEGE
State PA
Zip Code 16801-6847

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1699206300 Emily Lauer Specialist/Technologist 102a Multisport Indoor Facility, State College, PA 16801 2017-03-23
1740721075 Luk Devorski Student in an Organized Health Care Education/Training Program Rec Hall University Park, Penn State University, State College, PA 16801 2017-03-20
1013465764 Pennsylvania Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 201 West Beaver Avenue, State College, PA 16801 2016-09-12
1740685858 Mallory L. Miller Physician Assistant 100 Radnor Rd Ste 101, State College, PA 16801 2014-10-31
1386053981 Christopher Hippenmeyer Specialist/Technologist 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 2014-08-07
1982022059 Christy Sharer Counselor 301 S Allen St Ste 106, State College, PA 16801 2014-04-04
1912250523 Eva M Letwin Counselor 2011 Cato Ave Ste 201, State College, PA 16801 2012-10-19
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Taxonomy Information

Taxonomy Code 225XN1300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Neurorehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891345476 Rachel Elizabeth Loar Occupational Therapist 272 Brodhead Rd Ste 600, Bethlehem, PA 18017-8957 2019-09-16
1184913303 Kristan Trettel Mosley Occupational Therapist 510 Sunset Ln, Mc Donald, PA 15057-2565 2011-03-29
1407456999 Kristen M Bullers Occupational Therapist 55 Monument Rd, York, PA 17403-5023 2020-10-26
1982249934 Briana Nicole Hapenovich Occupational Therapist 518 Chestnut St, Emmaus, PA 18049-2404 2019-11-14
1093220493 Julia Kathryn Corsi Occupational Therapist 1417 8th Ave, Bethlehem, PA 18018-2256 2017-12-06
1447779756 Alexandra M Muscella Occupational Therapist 445 Old Eagle School Rd, Wayne, PA 19087-2006 2017-09-18
1801226717 Julia Santini Occupational Therapist 161 Wilmington W Chester Pike, Chadds Ford, PA 19317-9041 2013-11-14
1821343476 Edlantis Achievement Center Occupational Therapist 3583 Scotland Rd, Scotland, PA 17254-1200 2012-07-19
1356553697 Alicia M Tifft Occupational Therapist 414 Paoli Pike, Malvern, PA 19355-3311 2007-05-07
1659499390 Kimberly Ann Scheibenhofer Occupational Therapist 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 2007-03-27
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Competitor

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City STATE COLLEGE
Zip Code 16801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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